Provider Demographics
NPI:1891528436
Name:SUMMIT DIETETICS, LLC
Entity type:Organization
Organization Name:SUMMIT DIETETICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LDN
Authorized Official - Phone:828-307-3359
Mailing Address - Street 1:89 WAYNESVILLE PLZ # 1026
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-2990
Mailing Address - Country:US
Mailing Address - Phone:828-307-3359
Mailing Address - Fax:888-264-6157
Practice Address - Street 1:15 TEAL LN
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5258
Practice Address - Country:US
Practice Address - Phone:828-307-3359
Practice Address - Fax:888-264-6157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1750927810OtherNPI